FINAL PROGRAM and BOOTH SIGN EXHIBITOR LISTING

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FINAL PROGRAM and BOOTH SIGN EXHIBITOR LISTING Please type or print clearly. Your company information will be typeset and printed directly from this form!

1 FINAL PROGRAM and BOOTH SIGN EXHIBITOR LISTING Please type or print clearly. Your company information will be typeset and printed directly from this form!* CONTACT INFORMATION FOR ATTENDEES TO REACH YOU: COMPANY NAME: BOOTH NUMBER(S): PHONE: WEBSITE: ADDRESS: BOOTH SIGN This sign hangs at the top of your booth so attendees know who you are: Line 1# of booth sign: (30 characters allowed per line-including spaces) Line 2# of booth sign (optional): Return completed form by FEBRUARY 20, 2019 to: Michigan Dental Association Attn: Jody Marquardt 3657 Okemos Rd, Ste. 200 Okemos, MI FAX: * If this form is not turned in by the deadline date or is unreadable, you will be listed using the information available on your original exhibit booth application.

2 EXHIBITOR NAME BADGE REGISTRATION Please print clearly as badges will be produced directly from this form! (If the name is unreadable, a name badge will not be made in advance) COMPANY: (To be listed on badge) FIRST/LAST NAMES OF ATTENDING EXHIBIT PERSONNEL: 1: 4: 2: 5: 3: 6: Please copy this form if needed for additional names NEW FOR 2019! FIRST/LAST NAMES OF BOOTH SET-UP PERSONNEL*: 1: 4: 2: 5: 3: 6: *If names are not known for set-up personnel, simply tell us you have a set up company coming and provide the contracted company name. We will then have fillable badges ready on-site (at no charge). Name badges will be available for pick-up at the Exhibitor Check-In counter in Hall D of Cobo Center starting Wednesday, May 1, A valid ID will be required for pick-up. Forms received after the deadline date will not be processed ahead of time and must be done onsite. (A $10 fee per name badge will be charged for on-site badges). Complete by March 1, 2019 and return to: Michigan Dental Association Attn: Jody Marquardt 3657 Okemos Rd, Ste. 200 Okemos, MI FAX jmarquardt@michigandental.org

3 DENTIST MAILING ROSTER for more than 3,500 practicing Michigan dentists If you have a special mailing you d like to make to our member-dentists to promote your company and exhibit booth in the show, we can provide the roster. As an extra incentive to those companies who purchase and pay for their exhibit booth in full prior to Feb. 15, 2019, you are entitled to receive a mailing address list at NO CHARGE of MDA dentists in Michigan! All you have to do is ask for it! (Note: this is for a list of dentists in Michigan, not those that are registered for the event) The list/roster will be sent to you in excel format- mailing labels will not be provided. **By signing this form you are agreeing to use the roster provided for pre-show mailings only. Annual Session Pre-Show Dentist Roster (list will be ed to you) (Please print clearly) Company Name: to Send Roster: Signature of Requestor: Booth Paid in Full? Yes No If not paid in full yet, please provide credit card information to pay your balance: CC#: Exp. Date: Roster sort requested: ZIP Code Order Last Name Order (Choose one) Send completed form to Jody Marquardt via: jmarquardt@michigandental.org FAX: (517) MAIL: MDA, c/o Jody Marquardt, 3657 Okemos Rd., Ste. 200, Okemos, MI NOTE: Deadline for ordering is Feb. 15, Allow 2 weeks to receive your list. No requests will be processed after this date and limit one order per company. Your booth(s) must be reserved and be PAID IN FULL BEFORE 2/15/19 to be eligible.

4 Reserve your ad now in the MDA 2019 Annual Session Official Program ANNUAL SESSION ADVERTISING SPECIFICATIONS 2019 MDA ANNUAL SESSION OFFICIAL PROGRAM Maximize your MDA Annual Session exhibition experience by advertising in the 2019 MDA Annual Session Official Program a comprehensive program of courses, speakers and exhibitors, all in a handy, pocket-sized booklet. Every MDA Annual Session attendee will receive a copy of the new MDA Annual Session Official Program. As the official program of the Annual Session, it s must reading for more than 5,000 dental professionals! This is the only publications that will be distributed at the 2019 MDA Annual Session. Don't miss out. Reserve your space now! Program size: 3 7/8 by 8 3/4 Full page black and white ad size: 3 1/2 by 8 $450 Half page black and white ad size: 3 1/2 by 3 1/2 $300 Full page 4-color ad size: 3 1/2 by 8 $800 Half page 4-color ad size: 3 1/2 by 3 1/2 $650 Insertion order deadline: Feb. 20, 2019 Ad materials deadline: March 1, 2019 SORRY, ALL DEADLINES ARE FINAL! Send insertion orders/high-res PDFs to: Publications Department Michigan Dental Association 3657 Okemos Road, Suite 200 Okemos, MI or via jhammond@michigandental.org Questions? Call Jackie Hammond at

5 Annual Session Official Program Ad Insertion Order ANNUAL SESSION Yes, we would like to advertise in this year's MDA Annual Session Official Program. Please reserve the following black and white ad space: Full page black and white ad (3 1/2 by 8 ) at $450 Half page black and white ad (3 1/2 by 3 1/2 ) at $300 Full page 4-color ad (3 1/2 by 8 ) at $800 Half page 4-color ad (3 1/2 by 3 1/2 ) at $650 Company name: Contact person: Phone number: Billing address: City: State: ZIP: Mail form by Feb. 20, 2019 to: Michigan Dental Association 3657 Okemos Road, Suite 200 Okemos, MI fax to jhammond@michigandental.org Ad materials due March 1, 2019

MICHIGAN DENTAL ASSOCIATION ANNUAL SESSION 2019 COBO CENTER DETROIT, MI MAY 1-4, 2019 Lead Retrieval Order Form Discount Deadline: FRIDAY, MARCH 29, 2019 217 General Patton Ave.

6 MICHIGAN DENTAL ASSOCIATION ANNUAL SESSION 2019 COBO CENTER DETROIT, MI MAY 1-4, 2019 Lead Retrieval Order Form Discount Deadline: FRIDAY, MARCH 29, General Patton Ave. Mandeville, LA MDA 2019 Z Printer Plus *1 per unit ordered Custom Survey *1 per unit ordered Delivery & Setup OPTIONAL *Applies to ATS hardware only, not app Mobile Plus $ (Before 3/29/2019) $ (Show Rate) Wireless Handheld Unit Large Color Touch Screen Display Real-Time Online Lead Management Allows Personalized Note Taking Extended Life Battery Paperless, Green Option Custom Qualifiers Included - $55 savings! ipad Mini Plus NO NETWORK CONNECTION NECESSARY ATS ipad Mini enabled with LeadsPlus App Scan Barcode to Capture Lead Standard / Custom Qualifiers & Note Taking Capabilities Included Real-Time Online Lead Management *Uploads Leads Automatically when (devices) have internet connectivity LeadsPlus App $ $99.00 NO NETWORK CONNECTION NECESSARY Utilizes your personal device iphone or ipad with ios 7.0 or higher Android phones with OS 4.0 or higher Custom Qualifiers Included Note Taking Capabilities Real-Time Online Lead Management *Uploads Leads Automatically with internet connectivity $ (Before 3/29/2019) $ (Show Rate) (First License) OR APP BUNDLE OPTIONS 3 Pack Bundle $ Pack Bundle $ Pack Bundle $ ADDITIONAL SERVICES FOR THE MOBILE PLUS $75.00 (Before 3/29/2019) $95.00 (Show Rate) $80.00 (Before 3/29/2019) $60.00 (Show Rate) $65.00 (Before 3/29/2019) $85.00 (Show Rate) ADD IT UP (Additional License) Sub-Total= (# of Units) (# of Units) (# of Units) Total Due (in US funds) = $ COMPANY ALTERNATE *These s will be sent login credentials to access leads ADDRESS ORDER CONTACT ONSITE CONTACT Click HERE to Order Online. OR Visit Us at: Orders to: Mail Checks to: PAGE 1 CITY, STATE, ZIP, COUNTRY PHONE NO. ONSITE CELL PHONE Questions? Please call: ORDERING OPTIONS Username: MDA2019 orders@american-tradeshow.com Fax: ATTN - American Tradeshow Services 217 General Patton Ave. Mandeville, LA BOOTH NO , ext. #777 Password: 6319

7 MICHIGAN DENTAL ASSOCIATION ANNUAL SESSION 2019 COBO CENTER DETROIT, MI MAY 1-4, General Patton Ave. Mandeville, LA MDA 2019 Payment Authorization Form *A credit card is required on all orders as a security deposit on rental equipment. See Terms & Conditions at the bottom of this page. Choose Payment Method: COMPANY ORDER CONTACT PHONE NUMBER To Pay By Credit Card We accept American Express, MasterCard and Visa. Please choose To Pay By Credit Card option and enter your credit card details below. Your credit card will be charged upon receipt of your order and an confirmation/receipt will be sent to the address listed on Page 1 of the order form. To Pay By Company Check (Security Deposit Required*) Please make checks payable to American Tradeshow Services. Please choose To Pay By Check option and enter your credit card number below for security deposit purposes. Please check the Security Deposit Use Only checkbox. Checks are due in the office ten (10) days prior to show start. Checks must be in US Funds and be drawn from a US Bank. To Pay By Wire Transfer (Security Deposit Required*) For information on paying by Wire Transfer, please contact Exhibitor Services at , ext 201. Wire Transfers must be paid in US Dollars. Please choose To Pay By Wire Transfer and enter your credit card number below for security deposit purposes. Please check the Security Deposit Use Only checkbox. An invoice will be sent once your order is processed along with details on how to complete your wire transfer transaction. Wire Transfers are due in the office ten (10) days prior to show start. Credit Card Details *Required For All Orders Cardholder Name: Use As Security Deposit Only Expiration Date: Cardholder Signature: / Security Code: Terms & And Conditions Conditions All equipment ordered must be picked up at the service desk prior to the start of the show unless you have selected the Delivery and Setup option. Refunds will not be made for unclaimed equipment. Equipment must be returned to the service desk within one hour after the close of the show to avoid additional charges. If ATS staff has to pick up your scanner, you will be charged $ Renter is responsible for the full replacement value of lead retrieval equipment if lost, stolen or damaged while in possession of renter. All cancellations received earlier than seven (7) working days prior to show opening date will be subject to a $75.00 service fee. All cancellations received within seven (7) working days prior to show opening date will be billed at full rental price and will not be eligible for refund. A credit card is required on all orders as a security deposit on rental equipment. ATS will not charge anything to credit card held as security deposit with out prior authorization, however, ATS reserves the right to charge fees associated with lost, stolen or damaged units as a last chance effort to recover damages. ATS will allow ample time (at least sixty days) for exhibitor to arrange payment for lost, stolen or damaged units, before this step in taken. Checks are due in the office ten (10) days prior to show start. PAGE 2 Click HERE to Order Online. OR Visit us at: Username: MDA2019 Password: ORDERS TO: orders@american-tradeshow.com FAX: SEND CHECKS TO: American Tradeshow Services ATTN: Exhibitor Services 217 General Patton Avenue Mandeville, LA QUESTIONS? Call , ext. #777

8 2019 MDA Annual Session Hotel Information The Westin Hotel Book Cadillac* Headquarters Hotel 1114 Washington Blvd., Detroit, MI Phone: Website: Westin Book Cadillac Reservations link: WBC MDA Group Link Rate: $179 Booking deadline for group rate is April 7, 2019 The Hilton Garden Inn Detroit Downtown* 351 Gratiot Ave., Detroit, MI Phone: Website: Hilton Garden Inn Detroit Downtown Reservations link: HGI MDA Group Link Group Code: MDA Rate: $169 Booking deadline for group rate is April 10, 2019 Crowne Plaza Detroit Downtown Riverfront Hotel 2 Washington Blvd., Detroit, MI Phone: Website: CP in the D Reservations link: Group Code: MDA Rate: $155 Booking deadline for group rate is April 10, 2019 Hotel is located across the street from Cobo Doubletree Hotel Fort Shelby* 525 W. Lafayette, Detroit, MI Phone: Website: Doubletree Fort Shelby Detroit Reservation link: Doubletree MDA Group Link Group Code: MDA Rate: $149 Booking deadline for Group Rate is April 10, 2019 Motor City Casino Hotel** 2901 Grand River Ave., Detroit, MI Phone: or for reservations Website: Reservation link: MCC MDA Group Link Group Code: MIDA Rate: $165 Booking deadline for Group Rate is April 15, 2019 **Shuttle to Cobo Center provided by Motor City, check with front desk for times. *Michigan Dental Association will provide shuttle service to/from Cobo Center. NOTICE: Contact by any company soliciting as the official MDA housing company, offering special nonrefundable rates at MDA Conference hotels, and requesting credit card information should be considered a scam. All attendees and exhibitors should be aware that no one from the MDA solicits directly by telephone for hotel bookings or special discounts. The MDA does not ever sell or give away membership or attendee contact information. No company is authorized to distribute or sell any lists for the event. The MDA does not rent, share or sell your attendee contact information to third parties. Please do not engage with and/or acquire/purchase any list from any company claiming to have use of the MDA database, attendees or contact information, as it puts you and others contact information at risk. Often times, responding to these s (even to unsubscribe ) confirms to them that they have reached a valid address.

EXPOPRO MOBILE TM. Additional Products and Services

EXPOPRO MOBILE TM. Additional Products and Services For More Information Call-985-809-0600, dial 1 EXPOPRO MOBILE TM Additional Products and Services Delivery & Training ATS technicians deliver pre-ordered equipment prior to and after the event. In addition,